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1225320245
PHYLLIS DAVIS
CHESTER, NJ
NPI
1225320245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP023559)
Enumeration Date
2011-05-10
Last Update Date
2023-08-21
Business Address
PHYLLIS DAVIS
183 US HIGHWAY 206 S
CHESTER, NJ 07930-2402
Phone number: 866-389-2727
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Mailing Address
PHYLLIS DAVIS
PO BOX 772 MINUTECLINIC CREDENTIALING
WOONSOCKET, RI 02895-0784
Phone number: 866-389-2727
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